27例甲型H1N1流感臨床資料分析
發(fā)布時(shí)間:2018-01-19 10:29
本文關(guān)鍵詞: 甲型H1N1流感 臨床特征 治療 出處:《重慶醫(yī)科大學(xué)》2013年碩士論文 論文類型:學(xué)位論文
【摘要】:目的:分析我院收治的甲型H1N1流感病例的臨床資料,探討其臨床特征及診治經(jīng)驗(yàn)。 方法:采用回顧性分析方法,對我院27例甲型H1N1流感患者的完整住院病歷進(jìn)行分析,,歸納其臨床特征、治療方法及療效。 結(jié)果:27例病例中輕癥9例(33.3%),重癥15例(55.6%),危重癥3例(11.1%),重癥及危重癥多存在基礎(chǔ)疾病和免疫功能低下。重癥病例除流感樣表現(xiàn)外,病情迅速發(fā)展,出現(xiàn)呼吸困難及呼吸衰竭,需要輔助通氣。與奧司他韋治療組比較,中西醫(yī)結(jié)合治療組住院時(shí)間及體溫恢復(fù)正常時(shí)間均縮短(P〈0.05)。 結(jié)論:基礎(chǔ)疾病及免疫功能低下是發(fā)生嚴(yán)重流感的高危因素。對于重癥患者,應(yīng)早期診斷,及時(shí)治療,減少并發(fā)癥。中西醫(yī)結(jié)合治療對甲型H1N1流感療效優(yōu)于單用奧司他韋。
[Abstract]:Objective: to analyze the clinical data of influenza A (H1N1) cases in our hospital and to explore its clinical features and experience in diagnosis and treatment. Methods: 27 inpatients with influenza A (H1N1) in our hospital were analyzed retrospectively, and their clinical features, treatment methods and efficacy were summarized. Results among 27 cases, 9 cases had mild disease, 15 cases had severe disease, and 3 cases had critical disease. In severe and critical cases, there are many basic diseases and low immune function. In addition to flu-like manifestations, severe cases develop rapidly, dyspnea and respiratory failure, need auxiliary ventilation. Compared with oseltamivir treatment group. The time of hospitalization and the recovery of body temperature in the treatment group were shorter than that in the control group (P < 0.05). Conclusion: basic diseases and low immune function are high risk factors for severe influenza. For severe patients, early diagnosis and timely treatment should be taken. To reduce complications. Combination of traditional Chinese and western medicine is better than oseltamivir alone in the treatment of influenza A (H1N1).
【學(xué)位授予單位】:重慶醫(yī)科大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2013
【分類號】:R511.7
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相關(guān)期刊論文 前2條
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